Jacobs, Elliot William

Jacobs, Elliot William is an individual health care provider with primary practice located at 815 Park Avenue , New York NY 10021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Jacobs, Elliot William can be contacted via phone (212) 570-6080.

Contact Information

Primary practice address
815 Park Avenue New York NY 10021
Phone: (212) 570-6080
Fax: (212) 879-7002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD112279 New York
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME98407 Florida

Profile Details

NPI number 1356409866
LBN Legal business name Jacobs, Elliot William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356409866 NPPES
New York MEDICAID 00348554

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